SB 235

  • Virginia Senate Bill
  • 2020 Regular Session
  • Introduced in Senate Jan 02, 2020
  • Passed Senate Jan 28, 2020
  • Passed House Feb 21, 2020
  • Governor

Health insurance; association health plans.

Abstract

Health insurance; association health plans. Provides that for policies of group accident and sickness insurance issued to an association, members of such an association may include (i) a self-employed individual and (ii) an employer member with at least one employee that is domiciled in the Commonwealth. The bill provides that for such policies issued to an association that covers at least 51 members and employees of employer members of such association on the first day of the plan year the policies shall be considered a large group market plan and are required to meet various provisions in the bill. The bill provides that to determine the size of an association all of the members and employees of employer members are aggregated and treated as employed by a single employer.The bill requires an insurer issuing a policy to an association to (a) treat all of the members and employees of employer members who are enrolled in coverage under the policy as a single risk pool; (b) set premiums based on the collective group experience of the members and employees of employer members who are enrolled in coverage under the policy; (c) vary premiums by age, except that the rate shall not vary by more than five to one for adults; (d) not vary premiums based on gender; and (e) not establish discriminatory rules based on the health status of an employer member, an individual employee of an employer member, or a self-employed individual for eligibility or contribution.The bill requires the Commissioner of Insurance to initiate proceedings to apply to the U.S. Secretary of Health and Human Services for a state innovation waiver under the federal Patient Protection and Affordable Care Act, P.L. 111-148, to implement the provisions of the bill and within 180 days of a certain judicial order to submit the waiver request to implement the provisions of the bill regarding association health plans. This bill is identical to HB 795.

Health insurance; association health plans. Provides that for policies of group accident and sickness insurance issued to an association, members of such an association may include (i) a self-employed individual and (ii) an employer member (a) with at least one employee that is domiciled in the Commonwealth or (b) that has a principal place of business that does not exceed the boundaries of a metropolitan area that is at least partially in the Commonwealth. The bill provides that for such policies issued to an association that covers at least 51 members and employees of employer members of such association on the first day of the plan year the policies shall be considered a large group market plan and are required to meet various provisions in the bill. The bill provides that to determine the size of an association all of the members and employees of employer members are aggregated and treated as employed by a single employer.The bill requires an insurer issuing a policy to an association to (1) treat all of the members and employees of employer members who are enrolled in coverage under the policy as a single risk pool; (2) set premiums based on the collective group experience of the members and employees of employer members who are enrolled in coverage under the policy; (3) vary premiums by age, except that the rate shall not vary by more than 5 to 1 for adults; (4) not vary premiums based on gender; (5) not establish discriminatory rules based on the health status of an employer member, an individual employee of an employer member, or a self-employed individual for eligibility or contribution.The bill requires the Commissioner of Insurance to, within 90 days of the enactment of the bill, apply to the U.S. Secretary of Health and Human Services for a state innovation waiver under the federal Patient Protection and Affordable Care Act, P.L. 111-148, to implement the provisions of the bill. The provisions of the bill regarding association health plans will become effective 30 days following the date the Commissioner of Insurance notifies the Governor and the Chairs of the House and Senate Committees on Commerce and Labor of federal approval of such waiver.

Health insurance; association health plans. Providesthat for policies of group accident and sickness insurance issued to anassociation, members of such an association may include (i) a self-employedindividual and (ii) an employer member (a) with at least one employee that isdomiciled in the Commonwealth or (b) that has a principal place of businessthat does not exceed the boundaries of a metropolitan area that is at leastpartially in the Commonwealth. The bill provides that for such policies issuedto an association that covers at least 51 members and employees of employermembers of such association on the first day of the plan year the policiesshall be considered a large group market plan and are required to meet variousprovisions in the bill. The bill provides that to determine the size of anassociation all of the members and employees of employer members are aggregatedand treated as employed by a single employer.The bill requires an insurer issuing a policy to an associationto (1) treat all of the members and employees of employer members who areenrolled in coverage under the policy as a single risk pool; (2) set premiumsbased on the collective group experience of the members and employees ofemployer members who are enrolled in coverage under the policy; (3) varypremiums by age, except that the rate shall not vary by more than 5 to 1 foradults; (4) not vary premiums based on gender; (5) not establish discriminatoryrules based on the health status of an employer member, an individual employeeof an employer member, or a self-employed individual for eligibility orcontribution.The bill requires the Commissioner of Insurance to, within 90days of the enactment of the bill, apply to the U.S. Secretary of Health andHuman Services for a state innovation waiver under the federal PatientProtection and Affordable Care Act, P.L. 111-148, to implement the provisionsof the bill. The provisions of the bill regarding association health plans willbecome effective 30 days following the date the Commissioner of Insurancenotifies the Governor and the Chairs of the House and Senate Committees onCommerce and Labor of federal approval of such waiver.

Bill Sponsors (8)

Votes


Actions


May 21, 2020

Office of the Governor

Vetoed by Governor

Apr 22, 2020

Office of the Governor

Governor's Action Deadline 11:59 p.m., May 22, 2020

Senate

Communicated to Governor

House

VOTE: (48-Y 45-N)

House

Passed by for the day (48-Y 45-N)

Senate

Passed in enrolled form (35-Y 5-N)

Senate

Senate rejected Governor's recommendation (4-Y 36-N)

Apr 11, 2020

Senate

Governor's recommendation received by Senate

Mar 12, 2020

Office of the Governor

Governor's Action Deadline 11:59 p.m., April 11, 2020

Senate

Enrolled Bill Communicated to Governor on March 12, 2020

Mar 10, 2020

Senate

Impact statement from SCC (SB235ER)

Mar 08, 2020

House

Signed by Speaker

Mar 07, 2020

Senate

Enrolled

Senate

Signed by President

Mar 04, 2020

Senate

Conference report agreed to by Senate (40-Y 0-N)

Mar 03, 2020

Virginia General Assembly

Amended by conference committee

House

VOTE: Agree To (93-Y 3-N)

House

Conference report agreed to by House (93-Y 3-N)

Mar 02, 2020

House

Conferees appointed by House

Feb 28, 2020

Senate

Conferees appointed by Senate

Senate

Senate acceded to request (38-Y 0-N)

Feb 26, 2020

House

House insisted on substitute

House

House requested conference committee

Feb 25, 2020

Senate

House substitute rejected by Senate (0-Y 40-N)

Feb 21, 2020

House

Committee substitute agreed to 20108591D-H1

House

Read third time

House

Engrossed by House - committee substitute SB235H1

House

Passed House with substitute (91-Y 3-N)

House

VOTE: Passage (91-Y 3-N)

Senate

Impact statement from SCC (SB235H1)

Feb 20, 2020

House

Read second time

Feb 18, 2020

House

Committee substitute printed 20108591D-H1

House

Reported from Labor and Commerce with substitute (21-Y 0-N)

Feb 05, 2020

Senate

Impact statement from SCC (SB235ES1)

Feb 03, 2020

House

Placed on Calendar

House

Referred to Committee on Labor and Commerce

House

Read first time

Jan 28, 2020

Senate

Reading of amendments waived

Senate

Printed as engrossed 20106105D-ES1

Senate

Passed Senate (40-Y 0-N)

Senate

Constitutional reading dispensed (40-Y 0-N)

Senate

Engrossed by Senate - committee substitute with amendments SB235ES1

Senate

Amendments by Senator Barker agreed to

Senate

Engrossment reconsidered by Senate (40-Y 0-N)

Jan 27, 2020

Senate

Passed by for the day

Jan 24, 2020

Senate

Passed by for the day

Jan 23, 2020

Senate

Read second time

Senate

Impact statement from SCC (SB235S1)

Senate

Engrossed by Senate - committee substitute SB235S1

Senate

Committee substitute agreed to 20106105D-S1

Senate

Reading of substitute waived

Jan 22, 2020

Senate

Constitutional reading dispensed (40-Y 0-N)

Jan 20, 2020

Senate

Reported from Commerce and Labor with substitute (15-Y 0-N)

Senate

Committee substitute printed 20106105D-S1

Jan 16, 2020

Senate

Impact statement from SCC (SB235)

Jan 15, 2020

Senate

Assigned C&L sub: Health Insurance

Jan 02, 2020

Senate

Prefiled and ordered printed; offered 01/08/20 20101513D

Senate

Referred to Committee on Commerce and Labor

Bill Text

Bill Text Versions Format
Impact statement from SCC (SB235) HTML
Engrossed by Senate - committee substitute SB235S1 HTML
Engrossed by Senate - committee substitute with amendments SB235ES1 HTML
Engrossed by House - committee substitute SB235H1 HTML
Bill text as passed Senate and House (SB235ER) HTML

Related Documents

Document Format
Amendment: SB235AS HTML
Amendment: SB235AG HTML
Amendment: SB235AC HTML

Sources

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